Orthogonal Design Experiments Of Acupuncture And Moxibustion In The Treatment Of Obese Polycystic Ovarian Syndrome With Phlegm-dampness Syndrome

Objective:In this study,the orthogonal design method was used to observe the improvement of Obesity-type polycystic ovary syndrome(phlegm-dampness syndrome)patients'condition by three factors:whether or not Sanyinjiao Warming Acupuncture and Moxibustion(No,Yes),frequency of electro-acupuncture(high frequency,low frequency)and frequency of acupuncture and moxibustion(once a day after menstruation,once every other day after menstruation).By comparing the symptoms and signs,androgen level(T)of patients after treatment.Body mass index(BMI)and waist-hip ratio(WHR)were used to determine the primary and secondary effects of each factor on the curative effect and the advantages and disadvantages of each factor at different levels.The best treatment plan of these three factors for the disease was obtained in order to guide the clinical scientific and standardized treatment.Methods:Forty-eight obese Polycystic Ovarian Syndrome patients with phlegm-dampness syndrome were randomly divided into eight groups with 8 patients in each group.On the basis of the same treatment of body acupuncture and ear acupoint pressing beans,all patients were treated with three-factor and two-level orthogonal design L8(27).T,BMI,WHR and symptoms and signs were recorded.Results:1·Frequency of acupuncture and moxibustion and whether or not Sanyinjiao Warming Acupuncture and Moxibustion are significant factors affecting symptoms,signs and androgens of patients,and once every other day after menstruation is better than that of daily acupuncture and Moxibustion after menstruation,and that of bilateral Sanyinjiao Warming Acupuncture and Moxibustion is better than that of simple acupuncture(P<0.05).There was no significant difference in the improvement of electro-acupuncture frequency(P>0.05).That is to say,once every other day during the menstrual interval,using the method of bilateral Sanyinjiao Wen Acupuncture and Moxibustion can significantly improve the symptoms and signs of patients,and reduce the level of serum androgen.(P<0.05).2.The frequency of electro-acupuncture and whether or not Sanyinjiao Wen Acupuncture and Moxibustion are the significant factors affecting the changes of BMI and WHR,and the high frequency electro-acupuncture is superior to the low frequency electro-acupuncture,and the Sanyinjiao Wen Acupuncture and Moxibustion is superior to the simple acupuncture.There was no significant difference in the frequency of acupuncture and moxibustion(P>0.05).That is to say,in the process of acupuncture and moxibustion,the use of bilateral Sanyinjiao warming acupuncture and the useof high-frequency electro-acupuncture can significantly reduce the BMI and WHR of patients.(P<0.05)Coclusion:The best treatment for obese Polycystic Ovarian Syndrome patients with phlegm-dampness syndrome is to use high frequency electro-acupuncture combined with bilateral three-yin warming acupuncture and moxibustion once every other day during menstrual interval.